在精神科病房工作的護理師，下列哪些行為顯示其對治療界線的正確理解？（選所有適合的）
A nurse is working in an inpatient psychiatric unit. Which actions by the nurse indicate an appropriate understanding of therapeutic boundaries? (Select all that apply.)
- ASharing personal contact information to provide ongoing support分享個人聯絡資訊以提供持續支持
- BRespecting the client's physical and psychological space✓ 正解尊重個案的物理與心理空間
- CAccepting small, inexpensive gifts as a gesture of gratitude接受小額、便宜的小禮物作為感謝之意
- DMaintaining a focus on the client's needs rather than the nurse's needs✓ 正解專注於個案的需求而非護理師的需求
- ERefusing to disclose personal life details when asked by the client✓ 正解當個案詢問時，拒絕透露個人生活細節
治療性界線（Therapeutic boundaries）是維護護理師與個案專業關係的基石。護理師必須保持客觀、專業的立場，將焦點完全置於滿足個案的治療需求，而非滿足自身的情感或社交需求。適切的界線包含保護個案的隱私空間、拒絕不恰當的私人聯繫，以及婉拒禮物。這些行為能避免雙重關係（Dual relationship）的產生，保障病人安全與護理執業的專業性。
Therapeutic boundaries are the foundation of the professional relationship between nurse and client. The nurse must remain objective and professional, focusing entirely on meeting the client's therapeutic needs rather than the nurse's own emotional or social needs. Appropriate boundaries include protecting the client's privacy and space, refusing inappropriate personal contact, and declining gifts. These behaviors prevent the development of dual relationships and safeguard both patient safety and professional nursing practice.
在美國臨床環境中，對於接受禮物（即使是小禮物）的規範通常非常嚴格，許多醫院政策明確禁止接受任何形式的饋贈，以維持專業倫理並避免利益衝突。台灣臨床文化中對於病人或家屬表達謝意的禮物（如水果、點心）有時較為寬鬆，但NCLEX考試中需嚴格遵守專業界線原則。